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PROVIDER PROFILE · NPI 1104894021

Jeffrey CusmariuMD

PRACTICEST. VINCENT'S ORTHOPEDICS, PCSee all providers at this practice →
Sports MedicineBirmingham, ALI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 017009
Home health agency
CCN 010056
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
671
Unique beneficiaries
—
Total services
2,244
Distinct HCPCS
16
Medicare payment
$56K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 32 Sports Medicine providers in AL — above median (cohort median 2,832).
PRESCRIBING · PART D · 2024
Total Rx claims
975
Beneficiaries
—
Total drug cost
$7K
Distinct drugs
18
Brand share
24.0%
Top prescribed drugs
Oxycodone Hcl/Acetaminophen209 claims
Methocarbamol166 claims
Naproxen161 claims
Meloxicam50 claims
Amoxicillin48 claims
REFERRAL NETWORK

Where Jeffrey Cusmariu's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 8 inbound referrers · 16 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
43124
Charles Mead
Diagnostic Radiology · Vestavia Hills, AL
36109
Sommer Smith
Physical Therapist in Private Practice · Gardendale, AL
26315
Joseph Chaudry
Diagnostic Radiology · Jackson, MS
1844
Adam Summerlin
Diagnostic Radiology · Jackson, TN
1642
Richard May
Internal Medicine · Birmingham, AL
1272
David Buggay
Orthopedic Surgery · Birmingham, AL
1236
Nolan Hudson
Internal Medicine · Gardendale, AL
1140
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST. VINCENT'S BIRMINGHAM97322
Charles Mead
Diagnostic Radiology · Vestavia Hills, AL
76217
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
39109
Sommer Smith
Physical Therapist in Private Practice · Gardendale, AL
33527
David Thornton
Diagnostic Radiology · Hoover, AL
2181
Joseph Chaudry
Diagnostic Radiology · Jackson, MS
2052
Cunningham Pathology, Llc
Clinical Laboratory · Birmingham, AL
1734
SCHWARTZ, MARTIN1686
Nolan Hudson
Internal Medicine · Gardendale, AL
1558
Adam Summerlin
Diagnostic Radiology · Jackson, TN
1336
John Mcbryde
Physical Therapist in Private Practice · Birmingham, AL
12125
David Buggay
Orthopedic Surgery · Birmingham, AL
1238
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
QUALITY · MIPS · 2024
Final MIPS score
47.8
Quality
23.0
Cost
67.2
Improvement activities
40.0
Promoting interop.
23.0
Payment adjustment
-3.26%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$285
Payment records
7
By payment type
Food and Beverage$285